How much rates vary
Facilitymedian $123 · 10th to 90th $20 to $479Professionalmedian $55 · 10th to 90th $45 to $138
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $323.59 | Facility | None | $38.02 | $51.29 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $67.61 | Professional | None (both parts) | $51.29 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.05 Typical High $28.18 | Professional | 26 · Professional part | $18.20 | $19.05 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $36.31 Typical High $44.67 | Professional | TC · Technical part | $33.11 | $36.31 | $44.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $4.90 Typical High $42.66 | Professional | 26 · Professional part | $4.90 | $4.90 | $42.66 |
AvMed Setting Facility Modifier None Typical Low $19.50 Median $89.13 Typical High $223.87 | Facility | None | $19.50 | $89.13 | $223.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $19.50 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $19.50 | $89.13 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $162.18 | Facility | None | $97.72 | $134.90 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $109.65 | Professional | None (both parts) | $45.71 | $47.86 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.60 Typical High $38.02 | Professional | 26 · Professional part | $16.22 | $16.60 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $31.62 Typical High $72.44 | Professional | TC · Technical part | $29.51 | $31.62 | $72.44 |
Florida Blue Setting Facility Modifier None Typical Low $114.82 Median $131.83 Typical High $562.34 | Facility | None | $114.82 | $131.83 | $562.34 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $66.07 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $66.07 | $151.36 | $177.83 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $32.36 Typical High $39.81 | Professional | 26 · Professional part | $15.49 | $32.36 | $39.81 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $120.23 Typical High $134.90 | Professional | TC · Technical part | $50.12 | $120.23 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $60.26 Typical High $165.96 | Professional | None (both parts) | $25.70 | $60.26 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $104.71 | $123.03 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $28.84 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $83.18 | $95.50 | $141.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $138.04 | $138.04 | $162.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $27.54 Typical High $33.11 | Professional | 52 · Reduced service | $25.70 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.96 Typical High $13.18 | Professional | 53 · Discontinued | $10.23 | $10.96 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $43.65 Typical High $45.71 | Professional | FX · Film X-ray | $41.69 | $43.65 | $45.71 |
Where Florida sits
The same service costs 6.6 times more in Nebraska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Florida· 51st of 51
$54.95
NE $363FL $54.95
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.